NPI | 1104855774 |
---|---|
Other Name | VIKKI GARDNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional |
Additional Taxonomies | 101Y00000X Counselor (Licence: OH E3755) |
Enumeration Date | 2006-07-03 |
Last Update Date | 2024-01-14 |